Diagnosis and Treatment of 100 Cases of Liver Poisoning

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v3i3.1038

Zhongfeng Cheng¹, Kerun Cheng², Xueqiong Duan¹, Dejin Yang¹, Yong Ye³

1. Department of Emergency Medicine, Affiliated Hospital of Yunnan University, Kunming 650021, Yunnan, China
2. Department of Clinical Medicine, West China School of Clinical Medicine, Sichuan University, Chengdu 610041, Sichuan, China
3. The First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, Yunnan, China

Abstract

Objective — To analyze the diagnosis and treatment of hallucinic mushroom poisoning and provide evidence for the early diagnosis and treatment of mushroom poisoning. Methods — 100 patients included from May 2017 to April 2021 were analyzed, monitored the relevant laboratory indicators, counted the impaired organ function, and analyzed the efficacy of relevant treatment programs. Results — Among 100 patients with liver poisoning, in 11 cases of gastrointestinal poisoning, for 11.00%, disease course (5.32 ± 3.12) h; in 89 cases, neuropsychiatric poisoning occurred, for 89.00%, disease course (2.05 ± 0.61) h, among them, the neuropsychiatric poisoning patients accounted for the highest proportion, patients with gastrointestinal type have a long disease duration. Of the 100 patients with BHF poisoning, in 7 cases of nausea and vomiting, for 7.00%; in two cases of abdominal pain, for 2.00%; one case of severe diarrhea, for 1.00%; one case of gastrointestinal bleeding, for 3.00%; in 12 cases, for 12.00%; tears in 5 cases, for 5.00%; in 32 cases, for 32.00%; slow pulse in 13 cases, for 13.00%. Vision — 74 cases, Accounting for 74.00%.There were no abnormal changes in liver and kidney function indicators (ALT, AST, A S T, BUN, SCr, CK, CK-MB, LDH, WBC, Tbil, PTA, and Dbil) in 100 patients with vine liver bacteria intoxication, and no significant difference was found before and after treatment (P> 0.05). All the 100 patients with bovine liver bacteria poisoning recovered and were discharged after relevant treatment measures, with a cure rate of 100%, among which the neuropsychiatric hospital stay time was shorter than the gastrointestinal type (P <0.05). Will 100 poisoning patients according to the severity of mild group (mild, moderate) 78 cases, severe group 22 cases, the influence of both groups, mild group age, hypertension, diabetes, hyperlipidemia, high homocysteinemia are significantly lower than the severe group (P <0.05). Conclusion — most patients with neuropsychiatric damage, after taking timely treatment measures, the cure rate is quite large, including the toxic prognosis is affected by the factors such as age, basic disease history, with basic diseases of elderly poisoning groups need to pay special attention, when necessary, such as blood perfusion to ensure the cure rate.

Keywords

mushroom, cow liver bacteria, poisoning, early diagnosis and treatment

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References

[1] Wennig R, Eyer F, Schaper A, et al.Mushroom Poisoning.Dtsch Arztebl Int.2020,117(42):701-708.
[2] Li W, Pires SM, Liu Z, et al.Mushroom Poisoning Outbreaks - China, 2010-2020. China CDC Wkly.2021,3(24):518-522.
[3] Chen Fengxia, Yang Tianwei, Li Jieqing.Other element content analysis and risk assessment of delicious beef in different regions of Yunnan [J]. Food Science, 2020,41(12):279-284.
[4] Li H, Zhang H, Zhang Y, et al.Mushroom Poisoning Outbreaks - China, 2020. China CDC Wkly.2021,3(3):41-45.
[5] Ding Wenfei, Wu Weihua, Wen Li, and other different blood purification methods in the treatment of mushroom poisoning clinical observation [J]. Journal of Practical Medicine, 2019,35(9):1407-1410. DOI:10.3969/j.issn.1006-5725.2019.09.011.
[6] Li H, Zhang H, Zhang Y, et al.Mushroom Poisoning Outbreaks - China, 2019. China CDC Wkly.2020,2(2):19-24.
[7] Guan Mijie, Hu Haofei, Luo Jiao, and other 1 case of muscarinic poisoning kidney injury and clinical and pathological characteristics and literature review [J]. Chinese Journal of Integrated Traditional Chinese and Western Medicine nephropathy, 2021,22(8):738-741.
[8] Wang Mengjiao, Yang Guopeng, Qiao Shuai, and others of the fungus research progress [J]. Guizhou Agricultural Science, 2015,43 (12): 23-25.
[9] Su Jiuyan, Zhang Ji, Li Jieqing, Duan Chile, Li Tao, Liu Honggao, Wang Yuanzhong. Characteristics of elements and their species identification [J]. Modern food Technology, 2019,35 (2): 223-231.
[10] Song Yang, Li Xuemei, Chen Wen, Zhou Yujin, Zhang Yunian epidemiological analysis of muscarinic poisoning cases in Sichuan Province [J]. Modern preventive Medicine, 2019,46(24):4440-4443,4447.
2016-2017
[11] Chen Guoping, Meng Can, Xu particle, epidemiological characteristics of mushroom poisoning events in Anhui Province [J]. Chinese Food Hygiene Journal, 2019,31(2):178-181.
[12] Preparation, characterization of Yun-tao Liu, Li Linjian, Li Cheng, and other two selenium-rich yellow umbrella polysaccharide species, and their antioxidant activities [J]. Food Science, 2022,43(7):31-37.
[13] Wei Chen, Lin Zhou, Qinglin Li, the comparison of prol hydrochloride and atropine in the treatment of acute organophosphorus pesticide poisoning [J]. Chinese Journal of Modern Medicine, 2016,026(11):68-71.
[14] Emergency Doctor Branch of Chinese Medical Doctor Association, Chinese Emergency Medical Association, Emergency Recovery and Disaster Medicine Professional Committee of Chinese Medical Doctor Association, and other consensus of clinical experts on the diagnosis and treatment of Chinese mushroom poisoning [J]. Chinese Journal of Emergency Medicine, 2019,28(8):935-943.
[15] Hongyu Tian, HuiWang, Jun Xu, et al. Study on changes in cortisol and thyroid function in elderly patients with severe poisoning [J]. Gerontology and Health Care, 2021,27(3):609-612.

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